Avoid Reimbursement Delays When Coordinating Your Benefits

Many covered members have more than one benefit plan and coordinate them to maximize their coverage. This process, called Coordination of Benefits (COB), is standard practice for benefit providers.  

Different factors come into play to determine which plan is your primary plan (and, therefore, first payor) and which is secondary. When ASEBP is not your primary benefit plan, you will first submit your claim to your primary plan and then to your ASEBP plan. When you submit your claim to ASEBP, in addition to your receipt, you must include the Explanation of Benefits (EOB) that you will receive from your other provider(s). A similar process applies if ASEBP is your primary plan. 

To streamline this process, ASEBP accepts images of the EOB that you can easily upload to your My ASEBP account. To avoid a delay in receiving your claim reimbursement, you will want to ensure the following information is clearly visible in the image: 

• First and last name of the patient who received the treatment, service, or product 
• Service or treatment date or the date the product was purchased 
• Detailed description of the treatment, product or service, with the cost breakdown including total and amount paid by the primary benefit provider 
• Name of the benefit provider (i.e., Greenshield, Sunlife, etc.) 

If any of the above information is missing, cut-off or too blurry, your claim may be denied, which will delay your reimbursement. Don’t worry - you will have the opportunity to resubmit your claim with a new image. 

You can find more information about coordinating your benefits or submitting a claim at asebp.ca. You can also  speak to a benefit specialist by booking a call back, video or in-person meeting (through our online booking tool), or email benefits@asebp.ca. 

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